Medical Family Therapy in Oncology
Cancer diagnoses encompass a broad and varied group of diseases that share the feature of abnormal and uncontrolled cell growth. In the United States alone, an estimated 1.6 million new cases of cancer were diagnosed last year (American Cancer Society, 2016). Once considered a death sentence, many cancers are now treated as chronic illnesses that require long-term management (McCorkle et al., 2011). This shift from acute to chronic care for patients with cancer represents a culmination of continually evolving medical advances that have succeeded in prolonging survival and expanding the range of available treatment options.
Glossary of Important Terms for Care in Oncology
A surgical procedure to remove a segment of a tumor for the purpose of determining a precise diagnosis.
A cancer that begins in the skin or tissues that line the inside or cover the outside of internal organs.
Treatment intended (and expected) to destroy the cancer.
A measure of time following treatment during which no signs of cancer are discovered.
A cancer that is confined to the area where it began; it has not spread to other parts of a patient’s body.
A tumor is malignant when there is evidence of disease, as differentiated from a tumor said to be “benign” or noncancerous.
The spread of cancer to organs beyond where it began (which is referred to as the “primary” or “original” site).
Treatment intended to relieve symptoms and pain associated with the cancer.
The disappearance of cancer signs and symptoms (but not necessarily the disease, itself); this can be temporary or permanent in duration.
Substances that can be measured in the blood, urine, or body tissues to indicate the presence of cancer.
- American Cancer Society. (2016). Cancer facts and cures 2016. Retrieved from https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-ures/cancer-facts-ures-2016.html
- Bakitas, M., Lyons, K. D., Hegel, M. T., Balan, S., Brokaw, F. C., Seville, J., … Byock, I. R. (2009). Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: The project ENABLE II randomized controlled trial. Journal of the American Medical Association, 302, 741–749. https://doi.org/10.1001/jama.2009.1198 CrossRefPubMedPubMedCentralGoogle Scholar
- *Breitbart, W. S., Breitbart, W., & Poppito, S. R. (2014). Individual meaning-centered psychotherapy for patients with advanced cancer: A treatment manual. Oxford, England: Oxford University Press.Google Scholar
- Cloutier, P. F., Manion, I. G., Walker, J. G., & Johnson, S. M. (2002). Emotionally focused interventions for couples with chronically ill children: A 2 year follow up. Journal of Marital and Family Therapy, 28, 391–398. https://doi.org/10.1111/j.1752-0606.2002.tb00364.x CrossRefPubMedGoogle Scholar
- Denton, W. H., Wittenborn, A. K., & Golden, R. N. (2012). Augmenting antidepressant medication treatment of depressed women with emotionally focused therapy for couples: A randomized pilot study. Journal of Marital and Family Therapy, 38, 23–38. https://doi.org/10.1111/j.1752-0606.2012.00291.x CrossRefPubMedPubMedCentralGoogle Scholar
- Dockham, B., Schafenacker, A., Yoon, H., Ronis, D. L., Kershaw, T., Titler, M., & Northouse, L. (2016). Implementation of a psychoeducational program for cancer survivors and family caregivers at a cancer support community affiliate: A pilot effectiveness study. Cancer Nursing, 39, 169–180. https://doi.org/10.1097/NCC.0000000000000311 CrossRefPubMedGoogle Scholar
- Epstein, R. M., Duberstein, P. R., Fenton, J. J., Fiscella, K., Hoerger, M., Tancredi, D. J., … Franks, P. (2017). Effect of a patient-centered communication intervention on oncologist-patient communication, quality of life, and health care utilization in advanced cancer: The VOICE randomized clinical trial. JAMA Oncology, 3, 92–100. https://doi.org/10.1001/jamaoncol.2016.4373 PubMedPubMedCentralGoogle Scholar
- Gueguen, J. A., Bylund, C. L., Brown, R. F., Levin, T. T., & Kissane, D. W. (2009). Conducting family meetings in palliative care: Themes, techniques, and preliminary evaluation of a communication skills module. Palliative & Supportive Care, 7, 171–179. https://doi.org/10.1017/S1478951509000224 CrossRefGoogle Scholar
- Hodgson, J., Lamson, A., Mendenhall, T., & Tyndall, L. (2014). Introduction to Medical Family Therapy: Advanced Applications. In J. Hodgson, A. Lamson, T. Mendenhall., and D. Crane (Eds.). Medical family therapy: Advanced applications (pp. 1–9). New York, NY: Springer.Google Scholar
- *Holland, J. C. (2000). Improving the human side of cancer care: Psycho-oncology’s contribution. Cancer Journal, 7, 458–471. Retrieved from http://europepmc.org/abstract/med/11769856
- *Holland, J. C., Breitbart, W. S., Jacobsen, P. B., Butow, P. N., Loscalzo, M. J., & McCorkle, R. (Eds.). (2015). Psycho-oncology (3rd ed.). Oxford, England: Oxford University Press.Google Scholar
- Institute of Medicine Committee on the Future Health Care Workforce for Older Adults. (2008). Retooling for an aging America: Building the health care workforce. Washington, DC: National Academies Press.Google Scholar
- Johnson, S. (2004). The practice of emotionally focused couple therapy: Creating connection. New York, NY: Brunner-Routledge.Google Scholar
- *Kent, E. E., Rowland, J. H., Northouse, L., Litzelman, K., Chou, W. Y. S., Shelburne, N., … Huss, K. (2016). Caring for caregivers and patients: research and clinical priorities for informal cancer caregiving. Cancer, 122, 1987–1995. https://doi.org/10.1002/cncr.29939.
- Kim, Y., Kashy, D. A., Wellisch, D. K., Spillers, R. L., Kaw, C. K., & Smith, T. G. (2008). Quality of life of couples dealing with cancer: Dyadic and individual adjustment among breast and prostate cancer survivors and their spousal caregivers. Annals of Behavioral Medicine, 35, 230–238. https://doi.org/10.1007/s12160-008-9026-y CrossRefPubMedGoogle Scholar
- Kim, Y., Shaffer, K. M., Carver, C. S., & Cannady, R. S. (2015). Quality of life of family caregivers 8 years after a relative's cancer diagnosis: Follow-up of the National Quality of Life Survey for Caregivers. Psychooncology, 25, 266–274. https://doi.org/10.1002/pon.3843 CrossRefPubMedGoogle Scholar
- *Kissane, D. W., & Bloch, S. (2002). Family focused grief therapy. Philadelphia, PA: Open University Press.Google Scholar
- Kissane, D. W., Bylund, C. L., Banerjee, S. C., Bialer, P. A., Levin, T. T., Maloney, E. K., & D'Agostino, T. A. (2012). Communication skills training for oncology professionals. Journal of Clinical Oncology, 30, 1242–1247. https://doi.org/10.1200/JCO.2011.39.6184 CrossRefPubMedPubMedCentralGoogle Scholar
- *Kissane, D. W., & Hempton, C. (2017). Conducting a family meeting. In D. Kissane, B. Bultz, P. Butow, C. Bylund, S. Noble, and S. Wilkinson (Eds.), Oxford textbook of communication in oncology and palliative care (2nd ed., pp. 110–119). Oxford, England: Oxford University Press.Google Scholar
- *Kissane, D. W., & Parnes, F. (2014). Bereavement care for families. New York, NY: Routledge.Google Scholar
- Kissane, D., Zaider, T., Li, Y., Hichenberg, S., Schuler, T., Lederberg, M., … Del Gaudio, F. (2016). Randomized controlled trial of family therapy in advanced cancer continued into bereavement. Journal of Clinical Oncology, 24, 1921–1930. https://doi.org/10.1200/JCO.2015.63.0582 CrossRefGoogle Scholar
- Manne, S. L., Kissane, D. W., Nelson, C. J., Mulhall, J. P., Winkel, G., & Zaider, T. (2011). Intimacy enhancing psychological intervention for men diagnosed with prostate cancer and their partners: A pilot study. Journal of Sexual Medicine, 8, 1197–1209. https://doi.org/10.1111/j.1743-6109.2010.02163.x CrossRefPubMedPubMedCentralGoogle Scholar
- McCorkle, R., Ercolano, E., Lazenby, M., Schulman Green, D., Schilling, L. S., Lorig, K., & Wagner, E. H. (2011). Self management: Enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians, 61, 50–62. https://doi.org/10.3322/caac.20093
- Naaman, S. C. (2008). Evaluation of the clinical efficacy of emotionally focused couples therapy on psychological adjustment and natural killer cell cytotoxicity in early breast cancer. Doctoral dissertation, University of Ottawa (Canada). Retrieved from https://ruor.uottawa.ca/handle/10393/29526
- National Comprehensive Care Network. (2017). NCCN guidelines. Retrieved from https://www.nccn.org/professionals/physician_gls/f_guidelines.asp (2017)
- *Northouse, L. L. (2012). Helping patients and their family caregivers cope with cancer. Oncology Nursing Forum, 39, 500–506. https://doi.org/10.1188/12.onf.500-506.
- Ostroff, J., Ross, S., & Steinglass, P. (2000). Psychosocial adaptation following treatment: A family systems perspective on childhood cancer survivorship. In L. Baider, C. Cooper, and A. De-Nour (Eds.), Cancer and the family (2nd ed., pp. 155–174). West Sussex, England: John Wiley & Sons.Google Scholar
- *Ostroff, J., Ross, S., Steinglass, P., Ronis-Tobin, V., & Singh, B. (2004). Interest in and barriers to participation in multiple family groups among head and neck cancer survivors and their primary family caregivers. Family Process, 43, 195–208. https://doi.org/10.1111/j.1545-5300.2004.04302005.x.
- Pirl, W. F., Fann, J. R., Greer, J. A., Braun, I., Deshields, T., Fulcher, C., … Lazenby, M. (2014). Recommendations for the implementation of distress screening programs in cancer centers: Report from the American Psychosocial Oncology Society (APOS), Association of Oncology Social Work (AOSW), and Oncology Nursing Society (ONS) joint task force. Cancer, 120, 2946–2954. https://doi.org/10.1002/cncr.28750 CrossRefPubMedGoogle Scholar
- *Rauch, P., & Muriel, A. (2005). Raising an emotionally healthy child when a parent is sick. New York, NY: McGraw Hill.Google Scholar
- *Reiss, D., Steinglass, P., & Howe, G. (1993). The family’s organization around the illness. How do families cope with chronic illness. In R. Cole and D. Reiss (Eds.), How do families cope with illness? (pp. 173–213). Hillside, NJ: Laurence Erlbaum Associates.Google Scholar
- Rolland, J. S. (1994). Families, illness, and disability: An integrative treatment model. New York, NY: Basic Books.Google Scholar
- *Rolland, J. S. (2005). Cancer and the family: An integrative model. Cancer, 104, 2584–2595. https://doi.org/10.1002/cncr.21489.
- Schenker, Y., Park, S. Y., Maciasz, R., & Arnold, R. M. (2014). Do patients with advanced cancer and unmet palliative care needs have an interest in receiving palliative care services? Journal of Palliative Medicine, 17, 667–672. https://doi.org/10.1089/jpm.2013.0537 CrossRefPubMedPubMedCentralGoogle Scholar
- Schuler, T. A., Zaider, T. I., Li, Y., Hichenberg, S., Masterson, M., & Kissane, D. W. (2014). Typology of perceived family functioning in an American sample of patients with advanced cancer. Journal of Pain and Symptom Management, 48, 281–288. https://doi.org/10.1016/j.jpainsymman.2013.09.013 CrossRefPubMedPubMedCentralGoogle Scholar
- Schuler, T. A., Zaider, T. I., Li, Y., Masterson, M., McDonnell, G. A., Hichenberg, S., … Kissane, D. W. (2017). Perceived family functioning predicts baseline psychosocial characteristics in US participants of a family focused grief therapy trial. Journal of Pain and Symptom Management, 54, 126–131. https://doi.org/10.1016/j.jpainsymman.2017.03.016 CrossRefPubMedGoogle Scholar
- Scott, J. L., Halford, W. K., & Ward, B. G. (2004). United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecological cancer. Journal of Consulting and Clinical Psychology, 72, 1122–1135. https://doi.org/10.1037/0022-006X.72.6.1122 CrossRefPubMedGoogle Scholar
- Sklenarova, H., Krumpelmann, A., Haun, M. W., Friederich, H. C., Huber, J., Thomas, M., … Hartmann, M. (2015). When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer, 121, 1513–1519. https://doi.org/10.1002/cncr.29223 CrossRefPubMedGoogle Scholar
- Smith, T. J., Temin, S., Alesi, E. R., Abernethy, A. P., Balboni, T. A., Basch, E. M., … Paice, J. A. (2012). American Society of Clinical Oncology provisional clinical opinion: The integration of palliative care into standard oncology care. Journal of Clinical Oncology, 30, 880–887. https://doi.org/10.1200/JCO.2011.38.5161
- *Steinglass, P. (1998). Multiple family discussion groups for patients with chronic medical illness. Families, Systems, & Health, 16, 55–70. https://doi.org/10.1037/h0089842.
- Traeger, L., Park, E. R., Sporn, N., Repper-DeLisi, J., Convery, M. S., Jacobo, M., & Pirl, W. F. (2013). Development and evaluation of targeted psychological skills training for oncology nurses in managing stressful patient and family encounters. Oncology Nursing Forum, 40, E327–E336. https://doi.org/10.1188/13.onf.e327-e336 CrossRefPubMedGoogle Scholar
- *Watson, M., & Kissane, D. W. (Eds.). (2011). Handbook of psychotherapy in cancer care. Hoboken, NJ: Wiley-Blackwell.Google Scholar
- Wright, L. M., Watson, W. L., & Bell, J. M. (1996). Beliefs: The heart of healing in families and illness. New York, NY: Basic Books.Google Scholar
- Zaider, T. I., Banerjee, S. C., Manna, R., Coyle, N., Pehrson, C., Hammonds, S., … Bylund, C. L. (2016). Responding to challenging interactions with families: A training module for inpatient oncology nurses. Families, Systems, & Health, 34, 204–212. https://doi.org/10.1037/fsh0000159 CrossRefGoogle Scholar
- *Zaider, T., & Kissane, D. (2009). The assessment and management of family distress during palliative care. Current Opinion in Supportive and Palliative Care, 3, 67–71. https://doi.org/10.1097/SPC.0b013e328325a5ab.
- Zaider, T. I., & Kissane, D. W. (2011). Couples therapy in advanced cancer: Using intimacy and meaning to reduce existential distress. In M. Watson and D. Kissane (Eds.), Handbook of psychotherapy in cancer care (pp. 159–173). Hoboken, NJ: Wiley-Blackwell.Google Scholar